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VATS Resection Using a Single Vertical Incision
A 67-year-old man was admitted for treatment of a 5x4 cm anterior mediastinal mass, which was found incidentally on a chest radiograph and was confirmed by a chest CT. The patient had no prior complaints. There was no evidence of metastatic disease on PET/CT. The mass was resected via VATS, using a single vertical incision. The instruments were inserted in the midaxillary line and the third intercostal space. A 30-degree scope was inserted in the fourth interspace, through the same skin incision. The vertical incision provided a large working area for the instruments. After the mass was resected, the drain was inserted through the same incision. The postoperative period was uneventful. Histopathologic examination revealed a T2N0M0 thymic squamous cell carcinoma with clear margins. Adjuvant therapy was not recommended.
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